Depression The Hidden Disorder - 2104 Words

Depression: The Hidden Disorder Depression is a mood disorder that causes a persistent feeling of sadness and loss of interest (Staff, 2015). Many times a doctor will call depression major depressive disorder or clinical depression, it can affect how you think, feel, and can cause a number of other physical and emotional problems (Staff, 2015). For most individuals suffering from depression, they do not feel like getting out of bed most days, you would rather stay there and cry, however if you do find the motivation to get out of bed you may have trouble doing every day activities, and even feel as if life is worth going on (Staff, 2015). How many times have we heard parents tell their son to just â€Å"snap out† of it, or have we told our†¦show more content†¦I am focusing on depression in adolescent boys ranging in age from fifteen to eighteen years old. The reason that I have chosen to do my paper on depression, is that my sixteen year old son has been diagnose d with depression. At first, I just thought that he was a typical boy and having trouble adjusting to the physical and mental changes of life. However, a couple of years passed and he seemed to not be snapping out of it. I never dreamed that he was depressed, because he seemed like a happy young man, most of the time. He was not one that seemed to be â€Å"down in the dumps†, or sad; his symptoms did not seem to be symptoms of depression, or at least the symptoms that I thought went along with depression. He was the one that would be happy and everything okay, then someone could ask him a question or say something to him and he would either start crying or become enraged. I spoke with his doctor about what I was seeing and he is the one that mentioned to me that it could be depression. I felt as if my heart skipped a beat, because I could not believe that my son could have depression. Once, his doctor determined that he was depressed, he then sent us to a therapist fo r therapy for my son. However, he is one that is not willing to open up to strangers, so we hit a road block. So then the doctor put him on medication and it has helped. He will never be cured of depression, but we are on our way of him learning to cope with

Audit Procedures That Can Be Carried Out In the Auditing Process Case Study

Essays on Audit Procedures That Can Be Carried Out In the Auditing Process: Case of Labels 4U Case Study The paper "Audit Procedures That Can Be Carried Out In the Auditing Process: Case of Labels 4U" is a perfect example of a case study on finance and accounting. The report is about the USA based manufacturing company, Labels 4U that manufactures adhesive labels. This report reviews the purchasing process of the company and then provides suggestions for additional auditing procedures that could be carried out to improve the purchasing process so that there are fewer chances of error. It is important for every organization to have a proper auditing procedure so that there are fewer errors and financial statements of representing a true picture about the financial position of the company (Puttick, Taylor and Kritzinger, 101). Audit Procedures That Can Be Carried Out In The Auditing ProcessThe following auditing procedures can be carried out by the auditors while analyzing the order processing system of the company.The auditors first of all need to evaluate the authorized persons and organizational structure along with collecting information about the vendors. Then they need to review the signatures of authorized personnel when orders are placed. Also, the auditors need to identify whether all the transactions have been properly recorded and their supporting documents are present.The auditors need to go through the policies and procedures of the organization and whether the policies of the organization cover all important points. The auditors not only need to review the policies and procedures of the purchasing department but they also need to analyze how different departments are interlinked with the purchasing department and particularly the Accounts Payable department.After auditors have gone through th e policies and procedures, they need to analyze, test and examine some of the documents to ensure that they are appropriate. Auditors can start with the purchase orders (PO) and find out the reasons why purchase orders are still open. Also, they can compare open invoice reports with the POs to identify any error.Next, the auditors could review the expenses and their supporting documents. Also, they need to verify whether these expenses have been approved by authorized persons or not. Auditors also need to check the turnaround time of different types of expenses and try to find out any kind of relationship between expenses.After that auditors need to review the Accounts Payable reconciliations for the last few months and check different procedures as well as supporting documentation. Auditors need to check the orders that have successfully been received and orders that have not been received and examine whether they have been properly recorded. In addition to this, the auditors need to check the name of the suppliers and whether the supplier is included in the list of the company or not.Then the auditors need to check the reporting of the orders and whether relevant people are reported about the new orders or not.Auditors also need to examine whether there is any blank or duplication present in the amount, transaction, purchase order number, vendor number, etc.The purchasing process of Labels 4U can be improved if there is more check and balance while the placement of orders as well as while invoices are being forwarded. It is important to have proper auditing procedures so that there are fewer errors and frauds in the order processing system and thus financial statements of the company would reflect the better and more accurate financial position of the company. It is important for auditors to review, analyze and test carefully the purchasing procedure to have a better and more efficient system.

Spongebob Free Essays

1. Sloth-Patrick Sloth is the sin of laziness, or unwillingess to act. Obviously this is Patrick. We will write a custom essay sample on Spongebob or any similar topic only for you Order Now He lays under a rock all the time and doesn’t really do anything. In fact in the episode â€Å"Big Pink Loser† he got an award for doing nothing the longest. 2. Wrath-Squidward Wrath involves feelings of hatred and anger. Squidward hates his life, usually hates SpongeBob, and is pretty much angry most of the time. 3. Greed-Mr. Krabs Obviously Mr. Krabs is greedy and desires money. How could Greed not be Krabs? He actually sang about the power of greed in â€Å"Selling Out†. 4. Envy-Plankton Plankton is envious of Mr. Krabs because The Krusty Krab is a success while The Chum Bucket is a failure. His envy drives him to try to steal the Krabby Patty secret formula. 5. Glutony-Gary I actually think this one is pretty funny. Did you ever notice the running gag in Spongebob where they say â€Å"don’t forget to feed Gary† or Sponge says â€Å"I gotta go feed Gary†. Gary even ran away that time when SpongeBob forgot to feed him. Glutony usually refers to the overindulgence of food so I’m guessing this one fits him pretty well. 6. Pride-Sandy Sandy takes a lot of pride in who she is and where she comes from. She takes pride in the fact that she is from Texas and likes to let everyone know it. She also takes pride in the fact that she is a mammal and a land creature, like in the episode â€Å"Pressure† where she tried to prove land critters were better than sea critters. 7. Lust-SpongeBob Ok, I know what your thinking. It does seem a little weird and curious at first but I have given it a lot of thought. Lust in one definition is â€Å"excessive love of others†. I think this one works best for Spongebob. He shows his love of others with his overeagerness to do good and help people. If anything is true about SpongeBob its that he loves everyone around him, even if they don’t exactly love him back. 1. Greed (Mr. Krabs) – this is by far the most obvious comparison that can be made. The avarice of Eugene Krabs is made painfully clear throughout the series. He is constantly thinking of ways to turn a profit, even if it involves taking advantage of his friends or putting them in harmful situations! In one episode, he sings a song called â€Å"If I Could Talk to Money†Ã¢â‚¬ ¦ and there’s even a wiki page devoted to compiling all of his greedy plans! 2. Envy (Plankton) – another no brainer. With all of Krabs’ wealth and good fortune, there has been an equal amount of hard luck and failure for his archrival, Sheldon Plankton. Plankton owns a struggling restaurant called â€Å"The Chum Bucket† and is consumed with the desire to achieve the success of his adversary. His life’s goal is to steal the Krabby Patty formula from his Krabs and drive his primary competitor out of business. 3. Sloth (Patrick) – the guy lives under a rock for crying out loud! If that isn’t enough to convince you, in the episode â€Å"Big Pink Loser†Patrick is given an award for ‘doing absolutely nothing longer than anyone else’. He then proceeds go back under his rock to protect his title. 4. Pride (Sandy) – the fact that Sandy Cheeks is from Texas alone should almost suffice for this one. She is a squirrel that is very proud of her heritage, so much so that in one episode she nearly moved back home! Sandy also takes a great deal of satisfaction in being the only land critter living down in Bikini Bottom among all the fishy folk. Though generally a good-natured individual, Sandy is quick to spout off about the greatness of the Lone Star state or to show off her athleticism in a karate match or a weightlifting contest. . Wrath (Squidward) – Squidward Tentacles has no qualms about expressing his negative outlook on life, whether it be by describing how much he hates his job at the Krusty Krab or through outward disdain for his two obnoxious neighbors. He is portrayed as a general failure who refuses to acknowledge his own personal flaws. This constant self-denial manifests itself in a sarcastic s ense of humor and resentment toward the society that doesn’t ‘appreciate’ his creativity and clarinet†¦ erm†¦ †skills†. 6. Gluttony (Gary) – now this one’s a bit trickier. Those who have watched a great deal of the series will have noticed a number of jokes about Spongebob having to remember to feed his pet snail. To be honest, Gary doesn’t do a whole lot besides eating and meowing, and the meowing is often due to the fact that he is hungry. Once when Spongebob hadn’t fed his pet, Gary is shown eating parts of their couch! In another episode, Gary runs away from home because Spongebob forgot to feed him for a while. Another time when Spongebob had amnesia, Gary ate a year’s supply of snail food and became morbidly obese! This proves beyond a doubt that when left to his own devices, Gary would rather do nothing but eat. 7. Lust (Spongebob) – our final analogy is probably the least apparent because we typically think of ‘lust’ in a sexual sense. However, the alternative definition for lust is simply â€Å"a passionate desire for something†. In this sense of the word, it cannot be denied that our absorbent yellow friend is an extremely lustful creature. Spongebob has a lust for life that is incomparable to most other cartoon characters – he yearns for the affections of both friend and foe alike, is eager to please, and will often stop at nothing to complete a task. How to cite Spongebob, Essay examples

Nursing & Primary Health Care-Free-Samples-Myassignmenthelp.com

Question: Describe the general Characteristics and relevant Demographic Information of the Clientele. Answer: A substance-use nurse has different attributes. They are independent, engage in multifaceted activities, patient-facing and have a structured approach to the provision of drug-and-substance treatment services (Johnston, 2017). In regard to independence, these nurses can independently provide pain management services and also single-handedly regulate the treatment process of individuals addicted to drugs and substances. Secondly, substance-use nurses are patient-facing as they focus on directly engaging each individual patient in one-on-one teachings on the dangerous effects of drug use and addiction. They thus provide patient-centred care that is tailor-made for the patients and those at risk, knowing well that treatment options vary among persons (Wilkinson et al, 2015). Thirdly, these nurses are multifaceted and therefore able to manage different interacting factors that influence care for substance and drug use addicts. They can work as social workers, handle mental health problem s and also effectively administer medical treatment of cases. Partly as a social worker, a Substance Abuse Nurse plays a role in supporting individuals that have little else than addiction in their lives. Further, a substance-use nurse plays a structured role and thus has a well-planned approach to the treatment of their patients (Roden Jarvis, 2012). Through their structured care, they are able to administer and regulate treatment, teach the public, patients and their families on dangers of drug and substance abuse. Their structured care enables them provide the appropriate physical and/or emotional support to these groups. Primary healthcare involves providing integrated and accessible healthcare services particularly by clinicians that are accountable in addressing numerous personal healthcare needs, creation of sustainable partnership with their patients and further, practicing within the context of both family and the community. Substance abuse nursing meets the threshold to be a role of primary health care as it involves effective treatment of patient's substance use problem and therefore addressing their "personal health care need" as envisaged in primary healthcare requirements (Roden Jarvis, 2012). In line with their attributes, substance-use nurses works within the context of family and the community. This therefore indicates that substance abuse nursing is a role in primary healthcare. A substance-use nurse provides primary healthcare services to individuals, families and the community which are mainly aimed at preventing, managing and controlling drug and substance abuse (Thomas Staiger, 2012). Their clienteles main characteristics include; persons requiring drug-use related psychological counselling; individuals seeking substance use withdrawal and rehabilitation services and further, those that require pharmacotherapy to manage their drug and substance addiction. A case of Victoria state in Australia, a substance abuse nurse serves a clientele of about 40, 000 people annually who are under the states specialist drug, alcohol and other substance use treatment programs(Wilkinson et al, 2015). The nurse can provide these services within the community-based treatment centres. In Victoria the clientele include; the youth-a population that is most vulnerable to dug and substance use; the aboriginal population, whose health outcomes are worse than those of non-indigen ous Australians; all citizens within Victoria that need these services as directed by the Victorian Severe Substance Dependence Treatment Act of 2010 (Thomas, Staiger,2012). According to the Act the states specialist drug, alcohol and other substance use treatment centres should offer compulsory treatment to residents with severe substance dependence. Further, the clientele would include groups and persons that require family and peersupport services to aid their peers in the treatment process. From the clientele characteristics, the most outstanding health issue of concern is the need for culturally appropriate substance-use interventions for the aboriginal Australians. Understanding that culturally competent health care is paramount in reducing gap between the healthcare disparities between the aboriginal and non-indigenous Australians, I determined that cultural competence in substance use nursing for aboriginal communities in Victoria is imperative. A nurse should thus ensure that their services are appropriate and culturally acceptable to the aboriginal community (D'Abbs Chenhall, 2013). Their community and residential based drug-and-substance treatment services must meet the specific healthcare needs of the aboriginal Australians across Victoria. There are several justifications as to why the nurses must take action to ensure that the substance use nursing services provided are culturally appropriate. First, primary healthcare emphasizes that healthcare providers sho uld effectively deliver services which meet cultural, linguistic and social needs of their patients (D'Abbs Chenhall, 2013). Secondly, culturally competent health providers can ensure that there is improvement in the health outcomes and the quality of care of patients within their catchment. Further, culturally competent system of health can also contribute effectively on eliminating racial and/or ethnic disparities in health. Several initiatives are in place within victoria to ensure that the aboriginal communities receive culturally competent substance-use nursing care. The first initiative is aimed at promoting access to alcohol and other substances treatment services for aboriginal residents. The Victoria state government through the Aboriginal Community Controlled Organizations offers accessible aboriginal-specific substance use nursing services (Campbell et al, 2017). These organizations accept referrals which come from in-take services within the catchment areas to enrol them on alcohol and substance treatment services. They also accept direct referrals from different treatment centres to boost accessibility. Aboriginal people also have a choice of utilizing the mainstream services via the existing intake services in different catchments in Victoria. Further, health facilities give first priority to the Aboriginal people in the provision of treatment services for alcohol and other drugs in the state ; ensuring that this group finds maximum access to the services (Johnston, 2017). Accessibility to primary healthcare as promoted in these initiatives agrees with the Ottawa Charters strategies including the one on the need to build healthy public policies. It is evident that the policies guiding the Aboriginal Community Controlled Organizations in Victoria are healthy as they are tailor-made to ensure equity in healthcare for all Australians disregarding their demographic status (Campbell et al, 2017). The initiative also creates a supportive environment for Aboriginal Australians to develop good self-health-seeking behaviour, as envisaged in the second action plan of the Ottawa Charter (Tilford, 2017). This is consideration that they take up these services and own the initiatives under implementation in their areas. The second initiative includes the Bunjilwarra Koori Youth Alcohol and Drug Healing Service. This service is state-wide and it comprises of 12-bed residential rehabilitation and/or healing services specifically meant for young people of age 16-25 years from the Aboriginal communities in Victoria (D'Abbs Chenhall, 2013). The service is conducted by the Victorian Health Service and the Youth Support and Advocacy Service. These services are however supported by the state Aboriginal and non-indigenous health services. Further, the Aboriginal Metropolitan Ice Partnerships, an initiative under Victoria's Ice Action Plan is currently being implemented in four metropolitan parts of the state. It is aimed at helping Aboriginal people in the areas to have improved access to substance use nursing services for those affected by ice and other drugs(Campbell et al, 2017). This is carried out via partnerships of different Aboriginal community Controlled organizations and the mainstream substance a nd drug treatment service providers. The organizations carry out assertive outreach and/or treatment services and help in streamlining accessibility to even more intensive services when necessary. This approach agrees with the Ottawa Charter strategy on the need to re-orient primary healthcare towards illness prevention and promote health (Fry Zask, 2016). By partnering with different institutions, it is clear that this program plays a major role in preventing drug and substance-use negative effects and at the same time promotes the available health care services for Aboriginal Australians to access. A primary healthcare nurse can initiate two responses in order to address the need for a culturally appropriate substance-use nursing for aboriginal Australians. First, a nurse must effectively create a culturally appropriate environment within their areas of jurisdiction as an authority, which will attract Aboriginal people in Victoria to approach him/her for drugs-and-substance-use treatments (Johnston, 2017). The goal of this initiative will be to offer a culturally safe, welcoming and friendly service to the Aboriginal people in different catchment areas in Victoria. The objective of this initiative mainly includes the intention to promote access of treatment services for those at risk and already engaging in substance abuse from the aboriginal communities. This is in regard to the understanding that primary healthcare must meet the health needs of each social group to effectively prevent and control adverse health conditions. Among the strategies to create a culturally safe, fri endly and welcoming environment, nurses should be willing to accept any drug-and-substance user referral cases including self-referrals, direct referrals especially from other facilities and those from intake services in catchment areas (Wilkinson et al, 2015). This will make them Aboriginal people feel accepted and prioritized in regard to the efforts towards improving their health. Another initiative includes carrying out health education of the patients, relatives and the public on drug-and-substance adverse effects. This agrees with the Ottawa Charter strategy on inculcating skills among the people to prevent and/or ameliorate disease conditions (Fry Zask, 2016). The main goal of this strategy will be to ensure that by the end of the teachings, individual aboriginal people visiting the primary healthcare facility will be aware of the dangers of substance use and the approaches to prevent them. The main objective thus includes ensuring that all patients enrolled on substance use treatment therapy are fully informed of their likely health deterioration if they persist on the use of substances (Zimmermann et al, 2012). This will also improve their compliance levels to rehabilitation services and even make them share out the information to other community members. The strategies as borrowed from Strobbe (2013) will include holding brief learning sessions, provid ing learning materials like brochures, and engaging in focus groups to teach visiting aboriginal patients and those at risk from the catchment areas on the dangers and the importance of quitting drugs-and-substance use. References Campbell, M., Hunt, J., Scrimgeour, D., Davey, M., Jones, V. (2017). Contribution of Aboriginal Community-Controlled Health Services to improving Aboriginal health: an evidence review.Australian Health Review. d'Abbs, P., Chenhall, R. (2013). Spirituality and Religion in Response to Substance Misuse Among Indigenous Australians.Substance Use Misuse,48(12), 1114-1129. Fry, D., Zask, A. (2016). Applying the Ottawa Charter to inform health promotion programme design.Health Promotion International, daw022. Johnston, D. (2017). Cultural Competence Training In Sydney Local Health District Australia.Primary Health Care Open Access,07(02). Kovitwanichkanont, T., Day, C. (2017). Prescription Opioid Misuse and Public Health Approach in Australia.Substance Use Misuse, 1-6. Patouris, E., Scaife, V., Nobes, G. (2016). A behavioral approach to adolescent cannabis use: Accounting for nondeliberative, developmental, and temperamental factors.Journal Of Substance Use,21(5), 506-514. Roden, J., Jarvis, L. (2012). Evaluation of the health promotion activities of Paediatric Nurses: Is the Ottawa Charter for Health Promotion a Useful Framework?.Contemporary Nurse, 365-403. Strobbe, S. (2013). Addressing substance use in primary care.The Nurse Practitioner,38(10), 45-53. Thomas, A., Staiger, P. (2012). Introducing mental health and substance use screening into a community-based health service in Australia: usefulness and implications for service change.Health Social Care In The Community,20(6), 635-644. Tilford, S. (2017). From the Ottawa Charter 1986 to the Vienna Declaration 2016.International Journal Of Health Promotion And Education,55(3), 173-174. Wilkinson, C., Allsop, S., Dare, J. (2015). Alcohol, ageing and Australia.Drug And Alcohol Review,35(2), 232-235. Zimmermann, A., Lubman, D., Cox, M. (2012). Tobacco, caffeine, alcohol and illicit substance use among consumers of a national community managed mental health service.